MEDICARE: CHRISTIAN REINHOLZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	35682	SC

General Provider Information

NPI Number	:	1194163923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTIAN REINHOLZ MD

Provider Business Mailing Address
First Line	:	PO BOX 751649
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28275-1649
Country	:	US
Telephone Number	:	843-789-1620
Fax Number	:

Provider Business Practice Location Address
First Line	:	1711 CLEMENTS FERRY RD UNIT 112
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29492-8717
Country	:	US
Telephone Number	:	843-606-7893
Fax Number	:	843-606-8123

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2013
Last Update Date	:	12/07/2023

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